Jodie M Evenson, LADC

NPI #1275243552 in Mora, Minnesota

Provider Information

NPI Number
1275243552
Entity Type
Individual
Name
Jodie M Evenson, LADC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADC
Enumeration Date
Nov 28, 2022
Last Updated
Nov 28, 2022

Practice Location

Address
206 MAPLE AVE E
City
Mora
ZIP Code
55051-1311
Phone
(320) 209-1941

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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